| NPI | 1467945261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07856) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL pt33489) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-03-31 |